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Nama Pasien : No RMTanggal Lahir : Nama DokterAlamat :No. Paket :

NO NAMA OBAT JML PEMAKAIAN1 Ondansentron inj 12 ketorolac inj 33 Dexamethason Inj 25 Durogesic Pact 12,5 16 Fentanyl Inj 17 Efedrin HCL inj 28 Pethidin HCL inj 29 Atropine 0,25 mg inj 210 Lidocain inj 213 Miloz Inj 114 Bunascan spinal inj 115 Proanes inj 116 Flamicort inj 117 Ranitidin inj 318 Stolax supp 119 Pronalges supp 3

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DAFTAR PEMAKAIAN OBAT-OBAT DAN ALKES "ANANDA" WOMEN AND CHILDREN HOSPITAL MAKASSAR

NO NAMA ALKES JML PEMAKAIAN NAMA ALKES1 Infusan NaCl Sanbe 4 Urine Bag2 infusan RL Sanbe 4 Nasal Canula Dewasa4 Water For Injection 3 Suction CATH 14

5Surgicat Gut 0 2 Ansell gammex 6 ½Monosyn[ ] Safil[ ] Optime[ ] Assucryl[ ] Safe glove 6 ½

6Surgicat Gut -1- 2 Ansell gammex 7Monosyn[ ] Safil[ ] Optime[ ] Assucryl[ ] Safe glove 7

7Surgicat Gut 2-0 1 Ansell gammex 7 ½Monosyn[ ] Safil[ ] Optime[ ] Assucryl[ ] Safe gammex 7 ½

8Surgicat Gut 3-0 1 LomatulleMonosyn[ ] Safil[ ] Optime[ ] Assucryl[ ] Underpad

9 Polypropylen 4-0 110 Bisturi 22 212 Pisau cukur 113 Spinocain 25 2

14Abbocath No.18 2Steracath[ ] Surflo[ ] Inflo[ ] Introcan [ ]

15Abbocath No.20 2Steracath[ ] Surflo[ ] Inflo[ ] Introcan [ ]

16 Disposible Syiringe 1 cc 117 Disposible Syiringe 3 cc 418 Disposible Syiringe 5 cc 519 Disposible 10 cc 420 Transfusion Set 121 Infusion Set 122 Electroda 423 3 Way Stopcock 124 Foley Catheter no.16 1

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DAFTAR PEMAKAIAN OBAT-OBAT DAN ALKES "ANANDA" WOMEN AND CHILDREN

JML PEMAKAIAN11112121212